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Organization

PREMIER HOSPITALIST GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VISHNU SUBRAMANI M.D. (DIRECTOR)
(573) 332-0052
Entity
Organization

Contact information

Practice address
1301 1ST ST, KENNETT, MO 63857-2525
(573) 332-0052
(573) 332-0007
Mailing address
2909 INDEPENDENCE STREET, CAPE GIRARDEAU, MO 63703-5044
(573) 332-0052
(573) 332-0007

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
2005005184
MO

Other

Enumeration date
03/03/2011
Last updated
05/01/2012
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